| NPI | 1841597218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM JOHNSON Ophthalmologist 518-645-6745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: VA 0101222149) |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: WA MD 60208608) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2011-04-05 |